Evans, Douglas Eugene
Evans, Douglas Eugene is an sole proprietor health care provider with primary practice located at 101 Mosaic Ct Ste 200 , Saint Joseph MO 64506-0015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Evans, Douglas Eugene can be contacted via phone (816) 271-1350.Contact Information
Primary practice address
101 Mosaic Ct Ste 200
Saint Joseph MO 64506-0015
Phone: (816) 271-1350
Fax: (816) 271-1355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 110143 | Missouri |
Profile Details
| NPI number | 1871591768 |
|---|---|
| LBN Legal business name | Evans, Douglas Eugene |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Apr 6th, 2026 - about 6 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871591768 | NPPES |
| Missouri | MEDICAID | 248268435 | |
| Missouri | MEDICAID | 30004162190003 |
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